摘要
目的通过咽异感症大量临床病例的观察,提出咽异感症的分型及治疗方法。方法通过病史临床常规检查,胃食管24时pH值测定,直立试验以及心电图R-R间期变动系数(coefficient of variation of the R-R,CVR-R)检查等,将咽异感症分为病因明确与病因不明两大类,病因明确一类中,又分为:精神创伤型,心理障碍情绪紧张型,反流性食管炎型,更年期综合征内分泌紊乱型,自主神经功能失调型。结果256例患者痊愈106例,显效76例,有效41例,有效率87·1%;无效33例,无效率12·9%。其中精神创伤型46例,占18·0%,全部治愈,有效率100·0%;心理障碍精神紧张型136例,占53·1%,治疗有效127例,有效率93·4%。反流性食管炎型21例,占8·2%,治疗有效15例,有效率71·4%。更年期综合征内分泌紊乱型35例,占13·7%,治疗有效29例,有效率82·9%。自主神经功能失调型12例,占4·7%,治疗有效6例,有效率50·0%。原因不明一类6例,占2·3%,6例治疗均无效。结论咽异感症只要详细询问病史,进行相关检查,可以进行临床分型并采用有针对性的治疗方法而治愈。
Objective Through the observation, analysis, and treatment to lots of chnical patients with unusual feeling symptom of pharynx （ UFSP）, followed by the functional examination of autonomic nerve, putting forward the clinical classify and therapy of UFSP. Methods Through the clinical history inquired, routine examination, 24 hours pH value determined of esophagus, erect experiment, and coefficient of variation of the R-R（CVR-R） examination of electrocardiogram etc, divided the UFSP into two types： the type of pathogeny clear and the type of pathogeny unclear. The clear-type was further classified into five subtypes ： the type of a mental scar, the type of morbid state of mind, the type of reflux esophagitis, the type of climacteric syndrome and menstrual disorder, and the type of functional disturbance of independence nerve. Results In the cases of 256, 106 were cured, 76 were positive effective, 41 were effective, with total effective rate of 87. 1%. Thirty three （12. 9% ） cases were not cured. Forty six （ 18. 0% ） of them with the type of a mental scar were whole cured. One hundred and thirty six （53. 1% ） of them with the type of morbid state of mind had a 93. 4% （127） effective rate. Twenty one（8. 2% ） of them with the type of reflux esophagitis had 71.4% （15） effective rate. Among 35 （ 13.7% ） cases of climacteric syndrome and menstnal disorder type, 29 cases were cured with a 82.9% effective rate. Twelve （4. 7% ） cases of the type of functional disturbance of independence nerve had 50% effective rate. Six（2. 3% ） cases of the pathogeny unclear type were not cured. Conclusions UFSP could be clinical classified and treated followed the detail inquiry of medical history and relative examination.
出处
《中华耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2006年第5期355-358,共4页
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
关键词
胃食管反流
更年期综合征
自主神经系统疾病
喉疾病
诊断
治疗
Gastroesophageal reflux
Climacteric syndrome
diseases
Laryneal diseases
Diagnosis
Therapy Autonomic nervous system
